Thrombosis | Central Lines - MedSchool
Sign up to start your free trial of MedSchool Premium!Get Started
Central Lines




    • Clinical Features

    • Pain, swelling, erythema of the upper arm (subclavian line) or leg (femoral line)
    • Symptoms / signs of pulmonary embolism
    • Prevention

    • Use the smallest possible CVC
    • Minimise CVC duration where possible
    • Management

    • Watch for signs and symptoms for early diagnosis
    • Ultrasound to confirm thrombosis
    • Remove the CVC
    • Look for signs and symptoms of pulmonary embolism
    • Commence anticoagulation as apppropriate
Last updated on January 1st, 2018


Baik SY, Kim EK, Hong SK. Strategies to prevent central line-associated bloodstream infections in intensive care units. Journal of Microbiology, Immunology and Infection. 2015 Apr 1;48(2):S75-6.
 Bannon MP, Heller SF, Rivera M. Anatomic considerations for central venous cannulation. Risk Manag Healthc Policy. 2011;4:27-39. Czepizak CA, O’Callaghan JM, Venus B. Evaluation of formulas for optimal positioning of central venous catheters. Chest. 1995 Jun 30;107(6):1662-4.
Graham AS, Ozment C, Tegtmeyer K, Lai S, Braner DA. Central venous catheterization. N Engl J Med. 2007 May 24;356(21):e21.
 Vesely TM. Central venous catheter tip position: a continuing controversy. Journal of Vascular and Interventional Radiology. 2003 May 31;14(5):527-34.